# JOINT REGENERATION OF PENNSYLVANIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528791324
- **Authorized official:** DAVID KIRSTEIN (CLINIC DIRECTOR)
- **Authorized official phone:** (856) 912-4811

## Contact information

- **Practice address:** 9 PRESIDENTIAL BLVD, BALA CYNWYD, PA 19004-1003
- **Practice address phone:** (856) 912-4811
- **Mailing address:** 9 PRESIDENTIAL BLVD UNIT 103, BALA CYNWYD, PA 19004-1025
- **Mailing address phone:** (610) 934-4100
- **Mailing address fax:** (215) 397-4619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/08/2022
- **Last updated:** 12/04/2024